Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.47 / $985.44 / $1,387.63	Professional		$737.47	$985.44	$1,387.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.11 / $182.11 / $182.11	Professional		$182.11	$182.11	$182.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,696.20 / $1,696.20 / $1,696.20	Facility		$1,696.20	$1,696.20	$1,696.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $799.37 / $799.37 / $1,643.28	Facility		$799.37	$799.37	$1,643.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.46 / $799.37 / $823.35	Professional		$679.46	$799.37	$823.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,231.62 / $8,901.35 / $9,225.87	Facility		$3,231.62	$8,901.35	$9,225.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $539.46 / $1,467.34 / $2,362.59	Facility		$539.46	$1,467.34	$2,362.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.62 / $329.70 / $1,771.94	Professional		$169.62	$329.70	$1,771.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $539.46 / $1,189.80 / $2,126.33	Facility		$539.46	$1,189.80	$2,126.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $799.37 / $799.37	Professional		$133.31	$799.37	$799.37
United Facility/Professional Professional Modifier Low / Median / High Price $694.80 / $1,370.60 / $2,008.20	Professional		$694.80	$1,370.60	$2,008.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,083.83 / $1,250.33 / $1,250.33	Professional		$1,083.83	$1,250.33	$1,250.33